Oral candidiasis and nutritional deficiencies in elderly hospitalised patients

Autor: Isabelle Merlier, Elisabeth Scherman, Elena Paillaud, Joël Poupon, P N Bories, Catherine Dupeyron
Rok vydání: 2004
Předmět:
Zdroj: British Journal of Nutrition. 92:861-867
ISSN: 1475-2662
0007-1145
DOI: 10.1079/bjn20041264
Popis: The prevalence of oral candidiasis and its association with malnutrition in terms of protein–energy malnutrition and mineral and vitamin depletion were evaluated in ninety-seven hospitalised older adults aged 82·1 (SD 8·6) years. Patients underwent a complete oral examination with microbiological investigation on admission to our geriatric rehabilitation unit. Patients were assessed nutritionally by evaluation of dietary intake and measurement of anthropometric variables, serum nutritional proteins, ferritin, Zn, folate, vitamins B12 and C. The prevalence of oral candidiasis was 37% (n 36); the proportion of patients with BMI 2 was 32% (n 31). The nutritional status of the population was studied by comparing two groups defined according to the absence (group I; n 61) or presence (group II; n 36) of oral candidiasis. The two groups did not differ on the basis of BMI and mid-arm circumference. However, group II had a smaller leg circumference, lower daily energy and protein intakes, lower albumin and transthyretin levels. Patients successfully treated with fluconazole increased their intake on day 30. The proportion of patients with hypozincaemia (
Databáze: OpenAIRE